Document Detail


Delayed closure of postinfarction ventricular septal rupture.
MedLine Citation:
PMID:  20930668     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present the case of a patient with postinfarction ventricular septal rupture (VSR) who underwent delayed repair using a modified infarction exclusion technique. The patient was taken to the operating room 21 days after the first incidence of acute myocardial infarction because the intra-aortic balloon pump maintained a stable circulatory condition without cardiogenic shock. In our procedure, a Dacron patch was sutured to the healthy endocardium to exclude the infarcted septum, and the VSR was subsequently closed with another Dacron patch. After three years of postoperation, the patient's condition remains normal with good ventricular kinesis and no residual shunt. We describe herein a novel procedure for repairing postinfarction VSR by using two Dacron patches.
Authors:
Masahiro Miyajima; Toshiya Kawashima; Tatsuya Saito; Hideo Yokoyama; Katsumi Ohori; Kenji Kuwaki; Akihiko Sasaki; Tetsuya Higami
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia     Volume:  16     ISSN:  2186-1005     ISO Abbreviation:  Ann Thorac Cardiovasc Surg     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-10-08     Completed Date:  2011-04-18     Revised Date:  2012-06-18    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  128-30     Citation Subset:  IM    
Affiliation:
Division of Cardiovascular Surgery, Hokkaido Cardiovascular Hospital, and Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University, Sapporo, Hokkaido, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Humans
Intra-Aortic Balloon Pumping
Male
Myocardial Infarction / complications*
Prosthesis Implantation
Time Factors
Ventricular Septal Rupture / etiology,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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